Individual
TILLIE MIRSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 TUCKER LN, ASHTON, MD 20861-9769
(240) 393-2008
Mailing address
1400 TUCKER LN, ASHTON, MD 20861-9769
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
03/24/2023
Last updated
11/28/2023
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